, TESTBANK FOR Nursing Ethics Across the Curriculum and Into Practice
Sixth Edition Butts
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
Quizzes, Midterm and final exams are included (if available in the original resources).
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
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, Nursing Ethics 6E – Test Bank
Butts_Ch01-Nursing Ethics 6E
1. A value is defined as:
✓ a. something of worth or highly regarded.
b. getting your money's worth.
c. a moral decision.
d. family relationships.
2. Moral reasoning is best illustrated by making decisions about:
a. bioethical questions.
✓ b. religious training.
c. how human beings ought to be and act.
d. philosophical viewpoints.
3. Evaluating ethically related situations in terms of how these situations affect women is
called:
a. feminism.
b. feminine ethics.
c. women's rights.
✓ d. feminist ethics.
4. Narrative ethics can be compared to the:
✓ a. patient's particular story.
b. nurse's caseload.
c. doctor's rounds.
d. patient's clinical pathway.
5. The excellence of one's character and what one wants to become are related to:
a. your personal morality.
b. contextual ethics.
c. situational ethics.
✓ d. virtue ethics.
6. What philosophy shares a common focus with the healthcare ethical viewpoint of
alleviating human suffering?
a. Christian ethics
b. Aristotle's ethics
✓ c. Buddhist ethics
d. Greek and Roman ethics
,7. Deontology is an ethical theory based on:
a. chance.
✓ b. study of duty.
c. feelings or emotions.
d. professional experience.
8. The most influential philosopher associated with the deontological way of thinking is:
a. Jeremy Bentham.
b. John Stuart Mill.
✓ c. Immanuel Kant.
d. Sir William David Ross.
9. What is the most well-known consequentialist theory of ethics?
a. Narrative ethics
✓ b. Utilitarianism
c. Value ethics
d. Casuistry
10. A researcher starts work assuming that a system of ethics can be applied universally. This
worker would endorse:
a. ethical relativism.
b. bioethical studies.
✓ c. ethical objectivism.
d. moral reasoning.
11. A nurse who wants to do the best work needs:
a. extra coursework.
✓ b. mature ethical sensitivity.
c. compassion.
d. to study philosophy.
12. Ethical subjectivism and cultural relativism are:
a. the same thing.
b. mutually exclusive.
✓ c. related but distinct.
d. opposites.
13. The American Nurses Association has stated that:
a. professional values trumps personal values.
b. personal values are part of professional values.
c. personal values should be based on professional values.
✓ d. professional values and personal values must be integrated.
14. When a nurse is planning a moral course of action, that is an example of:
a. moralizing.
, b. ethical negotiation.
✓ c. moral reasoning.
d. moral hazard.
15. Who was the first figure in Western civilization to work on the issue of ethics?
✓ a. Socrates
b. Aristotle
c. Bentham
d. Plato
16. If you create a system for examining problems concerning ethical issues impacting the
daily duties of nurses and you use a question-and-answer format in your system, then the
system will be:
a. Aristotelian.
b. Platonic.
✓ c. Socratic.
d. Benthamic.
17. Which religion falls outside Western ethics?
a. Judaism
b. Islam
c. Christianity
✓ d. Buddhism
18. A nurse who, through study and self-reflection, continually works for ethical excellence
tries to achieve:
✓ a. virtue.
b. professional advancement.
c. 9001 certification.
d. protection from lawsuits.
19. True or False? Virtue is habitual but not routine.
✓ a. True
b. False
20. True or False? Aristotle divided virtues according to intellect and will.
a. True
✓ b. False
Butts_Ch02-Nursing Ethics 6E
1. Bioethics is a branch of ethics specifically related to moral issues in which domain?
a. Biology
, b. Chemistry
c. Case management
✓ d. Health care
2. Ethical principlism is defined as:
a. the use of a decision tree to find the correct path.
b. providing clear-cut answers to moral questions.
✓ c. guidelines for making justified moral decisions and evaluating the morality of actions.
d. the use of a theory or a formal decision-making model.
3. The three virtues necessary to cultivate dignity are:
a. patience, cleanliness, and honesty.
b. professionalism, humor, and humility.
c. spirituality, patience, and gentleness.
✓ d. generosity, misericordia, and truthfulness.
4. A nurse is an advocate when he or she:
✓ a. moves from the patient to the healthcare system.
b. provides the patient with advice.
c. meets with the patient's family.
d. listens to the patient's problems.
5. The Four Topics Method consists of analyses:
a. by the social worker, clinical psychologist, on-call physician, and case manager.
✓ b. of medical indications, patient preferences, quality of life, and contextual features.
c. of the family situation, insurance considerations, moral values of patient, and literacy level of patient.
d. by the nurse, patient's family, and legal team.
6. Which best describes what might happen when the family of a gunshot victim who has just
been brought into the emergency room and who is nonresponsive demands an immediate CT
scan?
✓ a. Family members want treatment for their loved one.
b. Family members want to pursue legal action against the healthcare setting.
c. Nurses may involve lawyers.
d. Nurses push unwanted treatments on family members.
7. A team that reviews cases, as requested, when there are conflicts in basic values, is most
likely:
a. a legal team.
b. the leadership team.
✓ c. an ethics committee.
d. a strategy committee.
8. Part of the nurse's role as a patient advocate is to:
a. report to the media when there is a moral issue.
, ✓ b. seek help and advice from other health professionals when he or she experiences moral uncertainty.
c. ensure that all healthcare professionals comply within their scope of practice.
d. educate the physician on any patient behaviors that appear immoral.
9. Moving away from blame and cover-ups to a place where medical and nursing errors are
properly analyzed and systems are changed to prevent the same errors is called:
✓ a. A just culture.
b. A practice culture.
c. Bioethics.
d. Healthcare ethics.
10. The five Rs that define the ethical approach to nursing practice are:
a. read, revise, render, recognize, respond.
✓ b. read, reflect, recognize, resolve, respond.
c. reflect, recognize, resolve, respond, rearrange.
d. ruminate, recognize, reflect, resolve, respond.
11. When a nurse goes to give a patient an injection, and the conscious patient who has been
communicating with the nurse does not resist this treatment:
a. the patient has grounds for a lawsuit.
b. a doctor should be present.
✓ c. implied consent has been given.
d. a release form should have been filed.
12. Which has the least influence on whether malpractice has occurred?
✓ a. Patient age
b. Duty of the nurse
c. Patient harm
d. Breach of duty
13. The statement "Nonmaleficence is a creature of the 20th century." is:
a. commonly heard.
✓ b. historically inaccurate.
c. originally attributed to Paul and Elder.
d. due to legal changes in the last 50 years.
14. In nursing, negligent conduct:
a. always leads to injury.
✓ b. may result in patient harm.
c. is usually noted by physicians.
d. requires deliberation.
15. Beneficence on the part of a nurse would include:
a. providing one's own cell phone for professional use.
b. good record keeping.
, c. having appropriate training for all techniques to be used.
✓ d. providing pro bono care for every fifth patient.
16. The fair allocation of resources is:
a. a veil of ignorance.
b. blind justice.
c. social justice.
✓ d. distributive justice.
17. True or False? Wide use of a new antipsychotic drug in 1938 would have been routine.
a. True
✓ b. False
18. True or False? The work on syphilis at Tuskegee combined the work of a county health
service and the United Nations.
a. True
✓ b. False
19. True or False? If your hospital announced a switch to an ethic of care and virtue ethics,
you would not expect to be thinking much about autonomy.
✓ a. True
b. False
20. True or False? Not all ethical systems distinguish between nonmaleficence and
beneficence.
✓ a. True
b. False
Butts_Ch03-Nursing Ethics 6E
1. The American Nurses Association (ANA) adopted its first official code in:
✓ a. 1950.
b. 1973.
c. 1895.
d. 1922.
2. Nurses and patients or people requiring care, nurses and practice, nurses and the
profession, and nurses and global health serve as an action-based standard of conduct for
which code?
a. The Golden Rule
✓ b. International Council of Nurses Code of Ethics
c. American Nurses Association Code of Ethics
d. American Hospital Association Code of Ethics
,3. The significant emphasis in both the American Nurses Association (2015) Code of Ethics
and the International Council of Nurses (2021) Code of Ethics is:
a. enacting ethical responsibility to the patient going through a spiritual crisis.
✓ b. nonnegotiable ethical nursing standards with a focus on professional values, people, relationships,
and professional ideals.
c. enforcing privacy guidelines related to patient care.
d. using moral reasoning as a basis for clinical decision making.
4. What means that nurses must first have a basic knowledge of culturally diverse customs
and then demonstrate constructive attitudes based on that knowledge?
a. Having an ethical code
✓ b. Giving culturally sensitive care
c. Having power
d. The American Nurses Association Code of Ethics
5. The ability of nurses to influence persons, groups, or communities by controlling the
content of their practice, the context of their practice, and their competence in practice is
called:
a. the nurse–patient relationship.
b. having control.
✓ c. using power.
d. moral reasoning.
6. What are three major reasons for strained relationships between nurses and physicians?
✓ a. (1) The hierarchal way ethical decisions are made, (2) competency and quality-of-care conflicts, (3)
lack of communication
b. (1) Lack of training, (2) gender differences, (3) poor social skills
c. (1) The hierarchal manner of interacting with staff, (2) demeaning attitude toward differences, (3) lack of
empathy for others
d. (1) Competency and quality-of-care conflict, (2) silos in the clinical environment, (3) lack of accountability
7. Nurses often treat other nurses in hurtful ways through interpersonal conflict, harassment,
and intimidation. This is known as:
a. patient advocacy.
✓ b. horizontal violence or workplace bullying.
c. abusing power among colleagues.
d. having control.
8. Traumatized nurses who do not manage the effects of workplace bullying will have difficulty
in professional and personal relationships with other people, and will function as the:
a. nurse as healer.
b. patient advocate.
✓ c. walking wounded.
d. nameless victim.
, 9. A nurse who is careful in the use of social media shared with other nurses and patients is
respecting what?
a. Cultural differences
b. Learning styles
✓ c. Moral space
d. Religious affiliations
10. What is the foremost risk of using social media?
a. Not getting hired for the next job
b. Being the victim of cyber-bullying
c. Unwanted contact from patients and coworkers
✓ d. Violation of patient privacy and confidentiality
11. If you are a nurse who just received an award from your employer for your communication
skills, and a fellow nurse mocks you for being "too communicative," you are being treated as
a:
a. workplace aggressor.
b. outsider.
✓ c. tall poppy.
d. supervisor.
12. When a nurse who works in a medical unit in a community hospital finds that a neighbor
and personal friend is a patient there, there is a risk of what?
✓ a. Blurred boundaries
b. Cyber-bullying
c. Over-prescription
d. Abuse of social media
13. If you, while working to prepare a patient for surgery, start talking with the patient about
your time together in high school, this may be a:
a. boundary violation.
b. boundary setting.
c. boundary incursion.
✓ d. boundary crossing.
14. During the Covid-19 pandemic, nurses faced ethical challenges related to nurse safety,
resources, and relationships. This led to more severe:
a. Moral Integrity
b. Honesty
✓ c. Moral Distress
d. Benevolence
15. An immediate result of a nurse being faced with moral distress over a dying patient's last
wishes might be what?
a. Use of narcotics
Sixth Edition Butts
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
Quizzes, Midterm and final exams are included (if available in the original resources).
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
🔒 Safe & secure – thousands of satisfied students trust us every semester.
🛡️Our Guarantees
💰 Money-Back Guarantee: Not satisfied? We offer a full refund – no questions asked.
🔄 Wrong File? No Problem: Contact us and we will replace it immediately with the
correct version, free of charge.
⏰ 24/7 Support: We are always here – reach out anytime and expect a fast response.
, Nursing Ethics 6E – Test Bank
Butts_Ch01-Nursing Ethics 6E
1. A value is defined as:
✓ a. something of worth or highly regarded.
b. getting your money's worth.
c. a moral decision.
d. family relationships.
2. Moral reasoning is best illustrated by making decisions about:
a. bioethical questions.
✓ b. religious training.
c. how human beings ought to be and act.
d. philosophical viewpoints.
3. Evaluating ethically related situations in terms of how these situations affect women is
called:
a. feminism.
b. feminine ethics.
c. women's rights.
✓ d. feminist ethics.
4. Narrative ethics can be compared to the:
✓ a. patient's particular story.
b. nurse's caseload.
c. doctor's rounds.
d. patient's clinical pathway.
5. The excellence of one's character and what one wants to become are related to:
a. your personal morality.
b. contextual ethics.
c. situational ethics.
✓ d. virtue ethics.
6. What philosophy shares a common focus with the healthcare ethical viewpoint of
alleviating human suffering?
a. Christian ethics
b. Aristotle's ethics
✓ c. Buddhist ethics
d. Greek and Roman ethics
,7. Deontology is an ethical theory based on:
a. chance.
✓ b. study of duty.
c. feelings or emotions.
d. professional experience.
8. The most influential philosopher associated with the deontological way of thinking is:
a. Jeremy Bentham.
b. John Stuart Mill.
✓ c. Immanuel Kant.
d. Sir William David Ross.
9. What is the most well-known consequentialist theory of ethics?
a. Narrative ethics
✓ b. Utilitarianism
c. Value ethics
d. Casuistry
10. A researcher starts work assuming that a system of ethics can be applied universally. This
worker would endorse:
a. ethical relativism.
b. bioethical studies.
✓ c. ethical objectivism.
d. moral reasoning.
11. A nurse who wants to do the best work needs:
a. extra coursework.
✓ b. mature ethical sensitivity.
c. compassion.
d. to study philosophy.
12. Ethical subjectivism and cultural relativism are:
a. the same thing.
b. mutually exclusive.
✓ c. related but distinct.
d. opposites.
13. The American Nurses Association has stated that:
a. professional values trumps personal values.
b. personal values are part of professional values.
c. personal values should be based on professional values.
✓ d. professional values and personal values must be integrated.
14. When a nurse is planning a moral course of action, that is an example of:
a. moralizing.
, b. ethical negotiation.
✓ c. moral reasoning.
d. moral hazard.
15. Who was the first figure in Western civilization to work on the issue of ethics?
✓ a. Socrates
b. Aristotle
c. Bentham
d. Plato
16. If you create a system for examining problems concerning ethical issues impacting the
daily duties of nurses and you use a question-and-answer format in your system, then the
system will be:
a. Aristotelian.
b. Platonic.
✓ c. Socratic.
d. Benthamic.
17. Which religion falls outside Western ethics?
a. Judaism
b. Islam
c. Christianity
✓ d. Buddhism
18. A nurse who, through study and self-reflection, continually works for ethical excellence
tries to achieve:
✓ a. virtue.
b. professional advancement.
c. 9001 certification.
d. protection from lawsuits.
19. True or False? Virtue is habitual but not routine.
✓ a. True
b. False
20. True or False? Aristotle divided virtues according to intellect and will.
a. True
✓ b. False
Butts_Ch02-Nursing Ethics 6E
1. Bioethics is a branch of ethics specifically related to moral issues in which domain?
a. Biology
, b. Chemistry
c. Case management
✓ d. Health care
2. Ethical principlism is defined as:
a. the use of a decision tree to find the correct path.
b. providing clear-cut answers to moral questions.
✓ c. guidelines for making justified moral decisions and evaluating the morality of actions.
d. the use of a theory or a formal decision-making model.
3. The three virtues necessary to cultivate dignity are:
a. patience, cleanliness, and honesty.
b. professionalism, humor, and humility.
c. spirituality, patience, and gentleness.
✓ d. generosity, misericordia, and truthfulness.
4. A nurse is an advocate when he or she:
✓ a. moves from the patient to the healthcare system.
b. provides the patient with advice.
c. meets with the patient's family.
d. listens to the patient's problems.
5. The Four Topics Method consists of analyses:
a. by the social worker, clinical psychologist, on-call physician, and case manager.
✓ b. of medical indications, patient preferences, quality of life, and contextual features.
c. of the family situation, insurance considerations, moral values of patient, and literacy level of patient.
d. by the nurse, patient's family, and legal team.
6. Which best describes what might happen when the family of a gunshot victim who has just
been brought into the emergency room and who is nonresponsive demands an immediate CT
scan?
✓ a. Family members want treatment for their loved one.
b. Family members want to pursue legal action against the healthcare setting.
c. Nurses may involve lawyers.
d. Nurses push unwanted treatments on family members.
7. A team that reviews cases, as requested, when there are conflicts in basic values, is most
likely:
a. a legal team.
b. the leadership team.
✓ c. an ethics committee.
d. a strategy committee.
8. Part of the nurse's role as a patient advocate is to:
a. report to the media when there is a moral issue.
, ✓ b. seek help and advice from other health professionals when he or she experiences moral uncertainty.
c. ensure that all healthcare professionals comply within their scope of practice.
d. educate the physician on any patient behaviors that appear immoral.
9. Moving away from blame and cover-ups to a place where medical and nursing errors are
properly analyzed and systems are changed to prevent the same errors is called:
✓ a. A just culture.
b. A practice culture.
c. Bioethics.
d. Healthcare ethics.
10. The five Rs that define the ethical approach to nursing practice are:
a. read, revise, render, recognize, respond.
✓ b. read, reflect, recognize, resolve, respond.
c. reflect, recognize, resolve, respond, rearrange.
d. ruminate, recognize, reflect, resolve, respond.
11. When a nurse goes to give a patient an injection, and the conscious patient who has been
communicating with the nurse does not resist this treatment:
a. the patient has grounds for a lawsuit.
b. a doctor should be present.
✓ c. implied consent has been given.
d. a release form should have been filed.
12. Which has the least influence on whether malpractice has occurred?
✓ a. Patient age
b. Duty of the nurse
c. Patient harm
d. Breach of duty
13. The statement "Nonmaleficence is a creature of the 20th century." is:
a. commonly heard.
✓ b. historically inaccurate.
c. originally attributed to Paul and Elder.
d. due to legal changes in the last 50 years.
14. In nursing, negligent conduct:
a. always leads to injury.
✓ b. may result in patient harm.
c. is usually noted by physicians.
d. requires deliberation.
15. Beneficence on the part of a nurse would include:
a. providing one's own cell phone for professional use.
b. good record keeping.
, c. having appropriate training for all techniques to be used.
✓ d. providing pro bono care for every fifth patient.
16. The fair allocation of resources is:
a. a veil of ignorance.
b. blind justice.
c. social justice.
✓ d. distributive justice.
17. True or False? Wide use of a new antipsychotic drug in 1938 would have been routine.
a. True
✓ b. False
18. True or False? The work on syphilis at Tuskegee combined the work of a county health
service and the United Nations.
a. True
✓ b. False
19. True or False? If your hospital announced a switch to an ethic of care and virtue ethics,
you would not expect to be thinking much about autonomy.
✓ a. True
b. False
20. True or False? Not all ethical systems distinguish between nonmaleficence and
beneficence.
✓ a. True
b. False
Butts_Ch03-Nursing Ethics 6E
1. The American Nurses Association (ANA) adopted its first official code in:
✓ a. 1950.
b. 1973.
c. 1895.
d. 1922.
2. Nurses and patients or people requiring care, nurses and practice, nurses and the
profession, and nurses and global health serve as an action-based standard of conduct for
which code?
a. The Golden Rule
✓ b. International Council of Nurses Code of Ethics
c. American Nurses Association Code of Ethics
d. American Hospital Association Code of Ethics
,3. The significant emphasis in both the American Nurses Association (2015) Code of Ethics
and the International Council of Nurses (2021) Code of Ethics is:
a. enacting ethical responsibility to the patient going through a spiritual crisis.
✓ b. nonnegotiable ethical nursing standards with a focus on professional values, people, relationships,
and professional ideals.
c. enforcing privacy guidelines related to patient care.
d. using moral reasoning as a basis for clinical decision making.
4. What means that nurses must first have a basic knowledge of culturally diverse customs
and then demonstrate constructive attitudes based on that knowledge?
a. Having an ethical code
✓ b. Giving culturally sensitive care
c. Having power
d. The American Nurses Association Code of Ethics
5. The ability of nurses to influence persons, groups, or communities by controlling the
content of their practice, the context of their practice, and their competence in practice is
called:
a. the nurse–patient relationship.
b. having control.
✓ c. using power.
d. moral reasoning.
6. What are three major reasons for strained relationships between nurses and physicians?
✓ a. (1) The hierarchal way ethical decisions are made, (2) competency and quality-of-care conflicts, (3)
lack of communication
b. (1) Lack of training, (2) gender differences, (3) poor social skills
c. (1) The hierarchal manner of interacting with staff, (2) demeaning attitude toward differences, (3) lack of
empathy for others
d. (1) Competency and quality-of-care conflict, (2) silos in the clinical environment, (3) lack of accountability
7. Nurses often treat other nurses in hurtful ways through interpersonal conflict, harassment,
and intimidation. This is known as:
a. patient advocacy.
✓ b. horizontal violence or workplace bullying.
c. abusing power among colleagues.
d. having control.
8. Traumatized nurses who do not manage the effects of workplace bullying will have difficulty
in professional and personal relationships with other people, and will function as the:
a. nurse as healer.
b. patient advocate.
✓ c. walking wounded.
d. nameless victim.
, 9. A nurse who is careful in the use of social media shared with other nurses and patients is
respecting what?
a. Cultural differences
b. Learning styles
✓ c. Moral space
d. Religious affiliations
10. What is the foremost risk of using social media?
a. Not getting hired for the next job
b. Being the victim of cyber-bullying
c. Unwanted contact from patients and coworkers
✓ d. Violation of patient privacy and confidentiality
11. If you are a nurse who just received an award from your employer for your communication
skills, and a fellow nurse mocks you for being "too communicative," you are being treated as
a:
a. workplace aggressor.
b. outsider.
✓ c. tall poppy.
d. supervisor.
12. When a nurse who works in a medical unit in a community hospital finds that a neighbor
and personal friend is a patient there, there is a risk of what?
✓ a. Blurred boundaries
b. Cyber-bullying
c. Over-prescription
d. Abuse of social media
13. If you, while working to prepare a patient for surgery, start talking with the patient about
your time together in high school, this may be a:
a. boundary violation.
b. boundary setting.
c. boundary incursion.
✓ d. boundary crossing.
14. During the Covid-19 pandemic, nurses faced ethical challenges related to nurse safety,
resources, and relationships. This led to more severe:
a. Moral Integrity
b. Honesty
✓ c. Moral Distress
d. Benevolence
15. An immediate result of a nurse being faced with moral distress over a dying patient's last
wishes might be what?
a. Use of narcotics
